Individual
NATALIE BURNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC, IBDS
Contact information
Practice address
485 MEADOW LN, PROVIDENCE, UT 84332-9819
(303) 887-1070
Mailing address
485 MEADOW LN, PROVIDENCE, UT 84332-9819
(303) 887-1070
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
—
—
225A00000X
Music Therapist
9203390-4010
UT
246X00000X
Cardiovascular Specialist/Technologist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
03/15/2021
Last updated
03/22/2021
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